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1821194036
GLORIA VON ROSSUM LIGHT
COLUMBIA, SC
NPI
1821194036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 243250)
Enumeration Date
2006-09-15
Last Update Date
2007-07-08
Business Address
Ms. GLORIA VON ROSSUM LIGHT RN, CPNP
4500 STUART ST MONCRIEF ARMY HOSPITAL, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2689
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Mailing Address
Ms. GLORIA VON ROSSUM LIGHT RN, CPNP
4500 STUART ST MONCRIEF ARMY HOSPITAL, ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2689
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